Indigent Care Trust Fund
Overview
The Indigent Care Trust Fund (ICTF) was established by law in 1990 as a separate fund in the State Treasury. The trust fund itself is composed of discrete program accounts. The ICTF is administered by the Department of Community Health (DCH, Department).
The purpose of the ICTF is to:
- Expand Medicaid eligibility and services; and
- Support rural and other care providers (primarily hospitals) who serve the medically indigent; and,
- Support primary health care programs for medically indigent citizens of Georgia.
ICTF is funded by a combination of state appropriations, provider fees and payments, breast cancer automobile tag fees, voluntary intergovernmental transfers, federal funds, ambulance licensing fees, and Certificate of Need (CON) penalties.
Indigent Care Trust Fund Programs
Disproportionate Share Hospital (DSH) is a federal program that seeks to increase health care access for the medically indigent. DSH payments are distributed based upon each hospital’s uncompensated cost of services provided to Medicaid patients and the uninsured. More than 100 Georgia hospitals qualify annually for DSH payments.
Hospital Medicaid Financing Program was authorized by Senate Bill 24 (2013 Session of the Georgia General Assembly). Pursuant to SB 24, the DCH Board of Community Health assesses a provider fee on hospital net patient revenue and then uses these assessments to match federal Medicaid funds to support Georgia’s Medicaid program.
Nursing Home Provider Fee Program was authorized by the Georgia General Assembly in 2003. The statute establishes a nursing home provider fee that DCH uses to match federal Medicaid funds. The combined total of federal funds and provider fees is paid back to nursing home providers who disproportionately serve the medically indigent. This is accomplished through an increase in Medicaid benefit reimbursements to the nursing home.
Breast Cancer Automobile Tag Fees are used to fund cancer screening and treatment-related programs for those people who are medically indigent and who have or may have breast cancer.
Ambulance Licensing Fees are assessed by the Board of Public Health to all ambulance services in the state. DCH draws down the fees deposited into the ICTF to match additional federal Medicaid dollars to fund Medicaid benefit payments for ambulance services.
DSH Audit Redistribution 2018-2019 - Memorandum - Posted 04/04/23
SFY 2024 Payments
- SFY 2024 Interim DSH - Updated 10/23/23
- SFY 2024 Final Preliminary DSH Payment Calculator - Posted 05/21/24
- SFY 2024 Final Preliminary DSH Limit - Posted 05/21/24
- SFY 2024 Final Preliminary DSH Eligibility - Posted 05/21/24
- SFY 2024 DSH Memorandum - Public - Posted 05/21/24
SFY 2023 Payments
- Updated SFY 2023 DSH Memorandum - Updated 09/09/24
- Updated SFY 2023 Final Preliminary DSH Payment Calculation - Updated 09/0924
- Updated SFY 2023 Final Preliminary DSH Limit - Updated 09/09/24
- Updated SFY 2023 Final Preliminary DSH Eligibility - Updated 09/09/24
- SFY 2023 Interim DSH Provider - Posted 11/30/22
FY 2022 ICTF Financial
- FY 2022 ICTF Memo - Posted 09/26/22
SFY 2022 Payments
- SFY 2022 DSH Payment and IGT - Posted 07/13/22
- SFY 2022 Final Preliminary DSH Eligibility - Posted 07/13/22
- SFY 2022 Final Preliminary DSH Limit - Posted 07/13/22
- SFY 2022 Final Preliminary DSH Payment Calculation - Posted 07/13/22
- SFY2022 DSH Memorandum - Private - Posted 07/13/22
- SFY2022 DSH Memorandum - Public - Posted 07/13/22
- SFY 2022 DSH Preliminary - Posted 06/09/22
- SYF 2022 Preliminary DSH Payment Calculation DSH Eligibility - Posted 06/09/22
- SYF 2022 Preliminary DSH Payment Calculation DSH Limit - Posted 06/09/22
- SFY 2022 Interim DSH - Posted 11/05/21
SFY 2020 & SFY 2021 DSH Adjustments
- DSH Adjusted Payments - Posted 08/30/21
FY 2021 ICFT Financial
- FY 2021 ICTF Financial - Revenue and Expenditure Activities - Posted 03/22/22
DSH Audit Redistribution Payments
- Memorandum DSH Audit Redistribution - Posted 04/19/21
FY 2020 ICFT Financial
- FY 2020 ICTF Financial - Revenue and Expenditure Activities - Posted 09/29/20
SFY 2021 Payments
- SFY 2021 Interim DSH - Posted 12/03/20
- SFY 2021 Preliminary DSH Memorandum - Posted 03/01/21
- SFY 2021 Preliminary DSH Limit - Updated 03/08/21
- SFY 2021 Preliminary DSH Eligibility - Updated 03/08/21
- SFY 2021 DSH Memorandum - Posted 05/19/21
- SFY 2021 DSH Payment and IGT - Posted 05/19/21
- SFY 2021 Final DSH Limit - Posted 05/19/21
- SFY 2021 Final DSH Payment Allocation - Posted 05/19/21
- SFY 2021 Final Payment Eligibility - Posted 05/19/21
- DSH Notice of Intent to Transfer Form - Posted 05/20/21
- SFY 2021 DSH Private Memorandum and LOA - Posted 05/20/21
SFY 2020 Payments
- SFY 2018 DSH Recalculation - Posted 01/29/20
- SFY 2018 DSH Private Hospitals Overpayment - Posted 01/29/20
- SFY 2018 Private DSH Memorandum - Updated 02/04/20
- SFY 2020 Interim DSH - Posted 01/29/20
- Preliminary SFY 2020 DSH Eligibility - Posted 03/04/20
- Preliminary SFY 2020 DSH Limit - Posted 03/04/20